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NHS Waiting List Edges Down as Emergency Pressures Set October Records

Early gains on planned care face headwinds from record A&E demand plus slipping cancer targets.

Overview

  • Official figures show 7.39 million treatments were on the elective list at the end of September, covering 6.24 million patients and down slightly from August.
  • The number waiting more than a year fell to 180,329, with 1,489 people still waiting over 18 months and a government goal to cut 52‑week waits below 1% by March 2026.
  • NHS England reported record A&E attendances and ambulance incidents for October, with 12‑hour decision‑to‑admit waits rising to 54,314 and 74.1% seen within four hours.
  • Cancer pathways deteriorated in September, with 73.9% receiving a diagnosis or ruling within 28 days and 67.9% starting treatment within 62 days, both below targets.
  • Flu vaccinations reached 14.4 million doses this autumn, slightly ahead of last year, as thousands of resident doctors prepare a five‑day strike from 7am Friday and ministers warn of winter strain.